Clinical management of atopic dermatitis in adults: Mapping of expert opinion in 4 nordic countries using a modified delphi process

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DOI

  • Jacob P. Thyssen, Københavns Universitet
  • ,
  • Teresa Berents, University of Oslo
  • ,
  • Maria Bradley, Karolinska Institutet
  • ,
  • Mette Deleuran
  • Øystein Grimstad, University Hospital of North Norway
  • ,
  • Laura Korhonen, Tampere University
  • ,
  • Tor Langeland, Hudlegene Tor Langeland and Gro Mørk
  • ,
  • Tore Särnhult, Särnhult Tore
  • ,
  • Simon Francis Thomsen, Københavns Universitet
  • ,
  • Turid Thune, University of Bergen
  • ,
  • Carl Fredrik Wahlgren, Karolinska Institutet
  • ,
  • Christian Vestergaard
  • Laura B. von Kobyletzki, Lund University
  • ,
  • Anita Remitz, University of Helsinki

Similarities and differences in the everyday clinical management of moderate-to-severe atopic dermatitis in Nordic countries are unknown. Using a modified Delphi approach, 15 dermatologists from Denmark, Finland, Norway and Sweden completed face-to-face and online questionnaires and participated in summary discussions to map expert opinion on the clinical management of moderate-to-severe atopic dermatitis in these Nordic countries. Through discussions, 6 adult patient profiles, reflecting common disease presentations of atopic dermatitis, were identified. Using these case profiles, diagnostic work-up, treatment goals, patient education and treatment approaches were discussed. Patient education was identified as essential for effective management. A treatment sequence of moderate-to-potent topical glucocorticosteroids and emollients, followed by systemic treatment, was recommended, allowing 3 months to ascertain systemic treatment response before switching, if necessary. Consensus was not reached on systemic treatment choice, reflecting differences in clinical practice and reimbursement between countries. Practical, case-based clinical recommendations were developed for optimal patient care.

OriginalsprogEngelsk
Artikelnummeradv00015
TidsskriftActa Dermato-Venereologica
Vol/bind100
Nummer1
Antal sider11
ISSN0001-5555
DOI
StatusUdgivet - 2020

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